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#170925 09-11-2013 08:36 PM
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haha, that is what my wife says about me. Just kidding, I am serious. I a 4 years out of treatment. Generally doing well. About as fit as I was before treatment, have not gained much weight back, that is OK. But I am getting quite a bit of pain in my neck lately. Especially, when I turn my head a certain way. Actually it is a radiating pain across my neck and face on the right side. That is also where I got most of my radiation. I have been to neurologist and my oncologist. Several MRIs, no tumors...very good and also no apparent pinching of a nerve as it exits my spine. Opioid drugs help a bit but do not stop it.I have tried Soma with zero results and neurotin with no results. I am also getting PT, 8 sessions, but I am not seeing any solid results. So it hurts when I look in a certain direction, up and to the right. It also hurts when I get on my bike for maybe 10 min, then OK. the general consensus of the neurologist, oncologist and PT guy is that fibrosis is pinching a nerve.

So has anyone experienced neck pain several years post treatment? I am thinking of seeing a pain specialist. I can live with the pain but I would rather not.

Thanks, Steve


70 male, athlete...again
SSC of undetermined orgin , early july 09
40 tx radiation, 8 chemo cisplatin and ebuterx
finished TX in mid Sept 09
Clear at the 6 year mark!
Back to swimming, biking and running! just a tad slower
never regained my weight, even when I eat lots and lots, just a skinny guy now

Just way glad to be seeing the green side up!




tristeve #170931 09-12-2013 04:14 AM
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Sorry to hear of the pain issue, but it's good you're doing well otherwise. I had similar lately, but was caused by whiplash being a passenger in a car, which the driver suddenly stopped, jerking my head forward and back, and felt a twinge. I couldn't turn my head for months from that, but it's ok now. I see you're quite active. Do you think any of them could contribute to the problem, especially turning the head while swimming to breath, biking to check your sides, tje bouncing from running, etc. I used to swim 1 sometimes 2 miles at the Y, when I was healthy lol, and would have a sore neck afterwards, next day. 1 mile was 88 laps. There can be other causes from the radiation, as mentioned fibrosis, and does other things to muscles, nerves. Radiation has short term toxicities, less than 3 months, and long term toxicities after 3 months.

Good luck.


10/09 T1N2bM0 Tonsil
11/09 Taxo Cisp 5-FU, 6 Months Hosp
01/11 35 IMRT 70Gy 7 Wks
06/11 30 HBO
08/11 RND PNI
06/12 SND PNI LVI
08/12 RND Pec Flap IORT 12 Gy
10/12 25 IMRT 50Gy 6 Wks Taxo Erbitux
10/13 SND
10/13 TBO/Angiograph
10/13 RND Carotid Remove IORT 10Gy PNI
12/13 25 Protons 50Gy 6 Wks Carbo
11/14 All Teeth Extract 30 HBO
03/15 Sequestromy Buccal Flap ORN
09/16 Mandibulectomy Fib Flap Sternotomy
04/17 Regraft hypergranulation Donor Site
06/17 Heart Attack Stent
02/19 Finally Cancer Free Took 10 yrs






tristeve #170933 09-12-2013 04:27 AM
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It's only been months not years, but neck/shoulder pain is the strongest "pain" symptom I have at 4.5 months post treatment, 7 months post selective neck dissection. There's stiffness turning it any way and shoulder pain from nerve damage.

Continual stretching and exercises for arm and shoulder help. Hopefully it will get better in time. I wouldn't want to be writing this 4 years for now, that's for sure!

Hope you get some relief!
Positive thoughts and prayers

"T"


57
Cardiac bypass 11/07
Cardiac stents 10/2012
Dx'd 11/30/2012 Tx N2b MO Stage IV HPV+
Palatine Tonsillectomy/Biopsies 12-21-12
Selective Neck Dissection/Lingual Tonsillectomy/biopsies TORS 2/7/13
Emergency Surgery/Bleeding 2/18/13
3/13/2013 30rads/6chemo
Finished Tx 4/24/13
NED Since
tristeve #170934 09-12-2013 06:17 AM
Joined: Jun 2013
Posts: 262
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Ouch!!! Acupuncture maybe? Hope you find relief soon!


53
T3N2aM0 HPV+
5/26/13 discovered painless superball-sized lymph node in neck
6/26/13 DX SCC R palatine tonsil
7/16/13 TORS tonsillectomy & selective ND, mets to 2 nodes
9/3/13 Cisplatin and rads begin, tolerated 1.5 of 3 planned chemo doses
10/16/13 Treatment ends
Dec 13 Ulcer appears at surgery site
Jan 17 Biopsy -- no cancer!
Feb 17 CT/PET Scan lights up tonsil bed & nasal cavity, docs say probably inflammation, don't panic, rescan when ulcer subsides
tristeve #170952 09-12-2013 01:05 PM
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"OCF Canuck"
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Yup that was what I was going to suggest. Fibrosed tissue is starved for blood, acupuncture may help blood back into the area and help with the pain... hugs.


Cheryl : Irritation - 2004 BX: 6/2008 : Inflam. BX: 12/10, DX: 12/10 : SCC - LS tongue well dif. T2N1M0. 2/11 hemigloss + recon. : PND - 40 nodes - 39 clear. 3/11 - 5/11 IMRT 33 + cis x2, PEG 3/28/11 - 5/19/11 3 head, 2 chest scans - clear(fingers crossed) HPV-, No smoke, drink, or drugs, Vegan
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Well i must say I am getting a bit tire of doctor visits.
So trying to hunt down the pain and see if I can stop it
The latest theory, which I believe.
I have fibrosis on the side of my neck where the most radiation was targeted. It is quite stiff, 4 years out. MRIs show no impediment of nerves out of the spine...very good. But the fibrosis is squeezing a nerve when I put my head is a certain position. The rx is botox injections. There is a Dr at cedars sini in NYC, dr stubenfield who has a lecture on line abut this.

I am on a fence, the pain is a pain! But I have not heard of any OCF folks mentioning it.

I will let you know what happens.....

Steve


70 male, athlete...again
SSC of undetermined orgin , early july 09
40 tx radiation, 8 chemo cisplatin and ebuterx
finished TX in mid Sept 09
Clear at the 6 year mark!
Back to swimming, biking and running! just a tad slower
never regained my weight, even when I eat lots and lots, just a skinny guy now

Just way glad to be seeing the green side up!




Joined: Jul 2012
Posts: 3,267
Likes: 1
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Sorry for your troubles, Steve, and have not experienced this long term with any of my neck dissections. Coud be Lhermitte's (sp) is when the standing the chin is bent forward to the chest, a shock goes through the body to the feet, and fortunately do not have this either.

FYI, there is no Cedars-Sinai in NYC, but have one in Los Angeles. In NYC it's Mount Sinai, and did not see a Dr. Stubenfield there from their listing, but doesn't mean he's not, being he's new or other reason, like doing a lecture, and is not on staff.

Good luck, and hope you find relief.


10/09 T1N2bM0 Tonsil
11/09 Taxo Cisp 5-FU, 6 Months Hosp
01/11 35 IMRT 70Gy 7 Wks
06/11 30 HBO
08/11 RND PNI
06/12 SND PNI LVI
08/12 RND Pec Flap IORT 12 Gy
10/12 25 IMRT 50Gy 6 Wks Taxo Erbitux
10/13 SND
10/13 TBO/Angiograph
10/13 RND Carotid Remove IORT 10Gy PNI
12/13 25 Protons 50Gy 6 Wks Carbo
11/14 All Teeth Extract 30 HBO
03/15 Sequestromy Buccal Flap ORN
09/16 Mandibulectomy Fib Flap Sternotomy
04/17 Regraft hypergranulation Donor Site
06/17 Heart Attack Stent
02/19 Finally Cancer Free Took 10 yrs






Joined: Nov 2009
Posts: 212
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Joined: Nov 2009
Posts: 212
Right you are, cedars is out here, MT. in in NYC. But I will blame this on chemo brain or just going Nutz! the Dr is Michael Stubbenfield and the is at Sloane Kettering, never the less very smart guy. Look at his posted videos if you are having neck pain!

Steve


70 male, athlete...again
SSC of undetermined orgin , early july 09
40 tx radiation, 8 chemo cisplatin and ebuterx
finished TX in mid Sept 09
Clear at the 6 year mark!
Back to swimming, biking and running! just a tad slower
never regained my weight, even when I eat lots and lots, just a skinny guy now

Just way glad to be seeing the green side up!




Joined: Jul 2012
Posts: 3,267
Likes: 1
Patient Advocate (old timer, 2000 posts)
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Patient Advocate (old timer, 2000 posts)

Joined: Jul 2012
Posts: 3,267
Likes: 1
No problem. You should see my posts, errors are guaranteed lol. I have chemo brain too, and carb fog from diabetes lol. I'll check him out, thanks.

I really liked Dr. Michael D. Stubblefields introductory page at MSKCC about his treating the after effects of treatment, which I have a few for years, and some permanent. I may go see him sometime after my next surgery. I didn't watch the full video yet.


10/09 T1N2bM0 Tonsil
11/09 Taxo Cisp 5-FU, 6 Months Hosp
01/11 35 IMRT 70Gy 7 Wks
06/11 30 HBO
08/11 RND PNI
06/12 SND PNI LVI
08/12 RND Pec Flap IORT 12 Gy
10/12 25 IMRT 50Gy 6 Wks Taxo Erbitux
10/13 SND
10/13 TBO/Angiograph
10/13 RND Carotid Remove IORT 10Gy PNI
12/13 25 Protons 50Gy 6 Wks Carbo
11/14 All Teeth Extract 30 HBO
03/15 Sequestromy Buccal Flap ORN
09/16 Mandibulectomy Fib Flap Sternotomy
04/17 Regraft hypergranulation Donor Site
06/17 Heart Attack Stent
02/19 Finally Cancer Free Took 10 yrs






Joined: Nov 2009
Posts: 212
Gold Member (200+ posts)
OP Offline
Gold Member (200+ posts)

Joined: Nov 2009
Posts: 212
well, another update. I have seen two pain specialist. Both are in agreement, Botox is a good solution. They both also said, this is not a common occurrence. I though my RO might be crazy when she said she has not seen this before. Then I thought, she does not treat 100s of H and N patients, so I will cut her a break.

Anyway, I hope to be on treatment in a couple of weeks. I will keep you all abreast of the outcome. Hope it works!!!!

Steve


70 male, athlete...again
SSC of undetermined orgin , early july 09
40 tx radiation, 8 chemo cisplatin and ebuterx
finished TX in mid Sept 09
Clear at the 6 year mark!
Back to swimming, biking and running! just a tad slower
never regained my weight, even when I eat lots and lots, just a skinny guy now

Just way glad to be seeing the green side up!




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